Management Of Hd In Hit Patients A Discontinuation of Heparin Treatment

As HIT is frequently associated with potentially life-threatening thrombotic events (Warkentin et al., 1995; Warkentin and Kelton, 1996), discontinuation of heparin treatment and initiation of adequate alternative anticoagulation is generally considered mandatory (Warkentin et al., 1998). Thus, heparin must not be added to any flushing solution, and no heparin-coated systems can be used. Indeed, heparin flushes and heparin-coated devices can both initiate and sustain HIT (Moberg et al., 1990; Kadidal et al., 1999).

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